查詢結果分析
來源資料
頁籤選單縮合
題 名 | 肩部關節疾患之傷科整復手法與針灸治療成效之比較分析=Analysis of Manipulation and Acupuncture Treatment on Peri-arthritis |
---|---|
作 者 | 邱榮鵬; | 書刊名 | 中醫藥年報 |
卷 期 | 3 2014.12[民103.12] |
頁 次 | 頁(59)1-(59)26 |
分類號 | 413.91 |
關鍵詞 | 肩周炎; 傷科手法; 針灸治療; Peri-arthritis of shoulder; Manipulation; Acupuncture; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:研究肩關節周圍疾患以中醫傷科推拿手法配合針灸治療在療效成效、生活功能及療程費時之評估,並且與單純針灸治療進行比較分析。 實施方法:於臺北市立聯合醫院中醫林森院區中醫傷科及針灸科門診收治肩關節疾患患者,以影像學攝影排除骨折或軟骨病變及其他影響診斷之疾病後,於每次就診時記錄 VAS scale,並於療程開始第一次與最後一次進行 SPADI、MOS SF-12健康相關生活品質以及中醫體質分析量表紀錄,且不給予科學中藥及水煎藥物,實驗組每次傷科手法治療時間約 12分鐘以上;實驗祖及對照組之留針時間為 15分鐘,以紅外線燈照射。藉此評估傷科手法合併針灸治療軟組織疾患之療效及對生活功能的改善情形並與單純針灸治療進行比較。 結果:本計畫自民國 100年 8月開始進行病患之收案,至計畫完成時收案數達 60人,其中 5人因故退出計畫,目前針對 48人之統計資料發現於實驗組 23人、對照組 25人中,各組之間之性別、年齡、初次測量之 VAS值分布無明顯差異。病患治療前後的六向測量角度去做比較,以 paired t-test方式統計發現,兩組的前伸、外展、內旋角度三部分、對照組的後伸、外旋角度五部分達顯著差異達顯著差異(P < 0.05),但實驗組的後伸、內收、外旋角度三部分未達顯著差異 (P > 0.05)。兩組的內收 (Add) 角度未達顯著差異 (P > 0.05)。而治療前後實驗組與對照組兩組間在六向角度的比較,發現兩組之間無統計上的明顯差異 (p > 0.05)。生活品質量表統計發現實驗組的生理狀況分數改善程度較對照組明顯,具統計學上的差異,但兩組的精神狀況分數改善程度並無明顯差異。在中醫體質方面,我們也發現病患就診前以氣虛證、陰虛證、寒證及熱證為多,治療後的體質問卷分析發現病患的氣虛證改善甚為明顯,但寒證及陰虛證的改善程度不明顯,且風證有增加的趨勢。 |
英文摘要 | AIM: To research the treatment response, treatment time and life function of the shoulder disorders by using Chinese manipulation and acupuncture. Furthermore, comparing the data with the pure acupuncture treatment. METHOD: We collect the patients with shoulder disorders at the the outpatient department of chinese traumatology in Taipei City Hospital, Linsen TCM Branch. We use image photography to exclude the patients those who have fracture or cartilage problem and then we record the range of motion and pain degree of affected shoulder, life function and Chinese symptoms scale. We give manipulation and acupuncture at the regions around affected shoulder. We use VAS scale to check the improvement of pain at every clinic-visting and check the range of motion, pain degree, life function and Chinese symptoms again at the end of course. We use the datas to evaluate the outcome and improvement of life function by using manipulation with acupuncture, and compare them with pure acupuncture group. RESULTS: This program was started from August 2011. There were already 60 cases included at the end of this program, but 5 cases dropped out due to personal reasons. There were 48 persons who completed the courses, and 23 persons were in experienced group and 25 persons were in control group. There were no significant differences in sex, age, VAS scale (first visit), and the times that patients said the pain were less than half of the VAS scale (first visit). We used SPSS 17.0 software and used paired-t test to evaluate the data we collected. We found the difference of range of motion between first visit and last visit on flexion, abduction and internal rotation in both groups (p<0.05). And the difference of range of motion between first visit and last visit on external rotation was only in control group (p<0.05). No difference of range of motion between first visit and last visit on adduction were noted in both groups (p>0.05). The difference of physical factor was noted only in experience group (p=0.000)and no difference of mental factor was noted in both groups (p=0.535, p=0.313). The questionnaire of character in Chinese medicine system revealed cold pattern and yin-deficiency pattern were difficult to be solved in both groups but qi-deficiency pattern was solved in both groups. |
本系統中英文摘要資訊取自各篇刊載內容。